Individual
CHARNEL L FAIRLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 W MILLER ST APT 6, GRIFFITH, IN 46319-2198
(312) 515-6987
Mailing address
715 W MILLER ST APT 6, GRIFFITH, IN 46319-2198
(312) 515-6987
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99133008A
IN
Other
Enumeration date
11/13/2025
Last updated
11/13/2025
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